Individual
JEFFREY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
(410) 308-8926
Mailing address
1305 DENBY RD, TOWSON, MD 21286-1628
(410) 453-9553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08165
MD
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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